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Exam (elaborations)

*UWorld Test Bank

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BPH assessment? - ANS >50 voiding difficulty/urgency incomplete emptying straining to void nocturia urine retention Should never have burning with uriantion! this indicates a UTI Sexual intercourse does not have anything to do with this PAtient with altered level of consciousness positioning? - ANS side lying position septic shock symptoms - ANS Tachycardia, fever,hypotension (SYSTOLIC lower then 90), pallor, fatigued, cold, reduced urine output, SOB, Decreased LOC,N/V, sweating, most reliable indicator of neurological status? - ANS level of consciousness

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**UWorld Test Bank

BPH assessment? - ANS >50



voiding difficulty/urgency



incomplete emptying



straining to void



nocturia



urine retention



Should never have burning with uriantion! this indicates a UTI



Sexual intercourse does not have anything to do with this



PAtient with altered level of consciousness positioning? - ANS side lying position



septic shock symptoms - ANS Tachycardia, fever,hypotension (SYSTOLIC lower then 90), pallor, fatigued,
cold, reduced urine output, SOB, Decreased LOC,N/V, sweating,



most reliable indicator of neurological status? - ANS level of consciousness

,Herpes Zoster (Shingles) - ANS VZV virus



amyotrophic lateral sclerosis (ALS) - ANS Survival is 3-5 years



difficulty swallowing and breathing



inability to communicate



constipation



EVERYTHING is down



What should we implement immediately in a burn patient? - ANS ABCs!



Fluids almost always first due to hypovolemia from loss of fluid in tissue



Cushings triad - ANS Appears when a patient has an increased ICP for some time



Brdycardia, ^ systolic BP and wide pulse pressure, irregular respirations.



Assess patient for brain swelling



Ampule medication withdrawal - ANS use filter needle



do not touch filter needle to edge of ampule

,receptive aphasia - ANS inability to understand spoken or written words



Hotspot injection site for Enoxaparin - ANS Right or left side of abdomen 2inch from belly button



Abdominal wound healing - ANS docusate

nausea treatment

pillow to cough

abdominal binder

monitor blood sugar



Isotonic fluids - ANS include NS 0.9% NaCl and LR



used for fluid resuscitation and hypovolemic shock and dehydration



Blind person walking technique - ANS walk slightly ahead and to the side of the client with their hand on
your elbow



How is medication measured for pediatric clients? - ANS oral syringe



How do you dress someone with a stroke? - ANS Affected side first



SLE s/s - ANS elevated ESR

+ANA

Decreased WBC count, thrombocytopenia and anemia are common

, Monitor for kidney damage



Halo device - ANS Clean pin sites with sterile solution



Keep vest liner dry with cool blow dryer



Foam inserts under pressure points



Small pillow under head to reduce pressure



Have wrench available in emergencies



Lithotripsy - ANS increase fluid intake



expect some bruising on flank or back



Analgesics



Minor blood in urine for first 24 hours..after than is a problem



Report infection symptoms



Ambulate immediately after



Sprain treatment - ANS RICE

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